Athletic Injuries Exam 2 - Thigh, Hip & Pelvis Injuries

Front 1

Quadriceps Contusion:

Back 1

DEF: thigh bruise; most common of all thigh injuries
MOI: direct impact
S/S: point tenderness; pain; ecchymosis; swelling; loss of function; loss of ROM
Tx: PRICEMM; with stretch of quadriceps; pad

Front 2

Quadriceps Strain:

Back 2

DEF: Pulled thigh muscle
MOI: excessive contraction or stretching
S/S: pain; point tenderness; ecchymosis; swelling; loss of strength; loss of ROM; palpable depression
Tx: PRICEMM; ROM work; strengthening

Front 3

Hamstring Strain:

Back 3

DEF: Pulled hamstring; 2nd most common injury to thigh
MOI: strength imbalance; excessive forcible contraction; muscle fatigue; leg length discrepancy; tightness; faulty posture
S/S: pain; point tenderness; swelling; ecchymosis; loss of strength; loss of ROM; palpable depression
Tx: PRICEMM; ROM work; Rehab
-Grade 1 should return fairly quickly
-Grade 2 and 3 will take longer with chance of re-injury
-mental status of athlete is one area of major concery

Front 4

Femoral Fractures:

Back 4

DEF: broken leg; medical emergency due to resultant shock and loss of blood
MOI: direct blow; indirect force such as landing on an extended leg
S/S: deformity with thigh rotated outward; shortened thigh caused by bone displacement; loss of function; pain; point tenderness; swelling of soft tissue

Front 5

Groin Strain:

Back 5

DEF: pull of groin area (depression that lies between the thigh and the abdominal region); may include hip adductors; hip flexors or abdominal
MOI: excessive contraction or stretching
S/S: pain; point tenderness; swelling; ecchymosis; loss of strength; loss of ROM; palpable depression
Tx: PRICEMM; ROM work; strengthening (true adduction & hip flexion) *other concerns that it may be are: avulsion fracture; Osteitis Pubis; Sports Hernia

Front 6

Sports Hernia:

Back 6

DEF: Athletic Pubalgia; "Gilmore's Groin"

Front 7

Trochanteric Bursitis:

Back 7

DEF: "snapping hip syndrome" bursitis of the greater trochanter; tendonitis of gluteus muscle insertion or IT band; more common in women runners with a large Q-angle
MOI: overuse; direct blow
S/S: pain; point tenderness; inflammation; "snapping hip"
Tx: PRICEMM;

Front 8

Dislocation of Hip Joint:

Back 8

DEF: not a common injury, but very serious; posterior dislocations are more common
MOI: hip and knee are flexed at 90 degrees with a force exerted through shaft of femur; internal rotation force with firmly planted foot
S/S: pain; loss of function; marked deformity
Tx: immobilize; check distal pulse; transport
*secondary problems: rupture of ligamentum teres leading to avascular necrosis (AVN) of femoral head; sciatic nerve involvement; osteoarthritis; labral tears

Front 9

Avascular Necrosis:

Back 9

DEF: temporary or permanent loss of the blood supply to the proximal femur; without blood the bone tissue dies and causes a collapse of the joint surface
MOI: any injury causing loss of blood supply to the femur; hip dislocations
S/S: joint pain weight bearing and resting; limited ROM; osteoarthritis; loss of joint fuction
Tx: refer to MD; MRI; X-ray; CT-scan; ROM work

Front 10

Legg-Calve-Perthes Disease:

Back 10

DEF: "coxa plana"; osteochondritis of upper femoral epiphysis leading to AVN; more common in skinny boys aged 3-12
MOI: Congenital; idiopathic
S/S: chronic pain in groin, anterior thigh and/or knee; painless limp; loss of motion; hip flexion contracture
Tx: refer to MD; x-ray

Front 11

Iliac Crest Contusion:

Back 11

DEF: hip pointer
MOI: direct blow to iliac crest
S/S: pain; point tenderness; ecchymosis
Tx: PRICEMM; pad; R/O fractures to ASIS

Front 12

Pelvic Fractures:

Back 12

DEF: fractures to the pelvic area include the innominate bones, sacrum, or coccyx
MOI: direct blow; indirect forces
Tx: refer to MD *must be concerned with internal damages resulting from the fracture